Organization
VIVIAN FRAGA, M.D. OB/GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN FRAGA M.D. (OWNER)
(301) 654-2182
Entity
Organization
Contact information
Practice address
5454 WISCONSIN AVE, SUITE 1005, CHEVY CHASE, MD 20815-6901
(301) 654-2182
(301) 654-7545
Mailing address
5454 WISCONSIN AVE, SUITE 1005, CHEVY CHASE, MD 20815-6901
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0031606
MD
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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